NUR 265 Exam 4 UPDATED ACTUAL Questions and CORRECT Answers
limit sun exposure
monitor body temp
preg can trigger
What is teaching with lupus?
pat skin dry/clean w/ mild soap
avoid alcohol or powder
no live vaccine for 30 days before tx
an immune system generates antibodies against histones and DNA released by
What is lupus? normal breakdown of body cells. causes skin rashes, fever, arthritis, and kidney
disfunction
skin biopsy confirms diagnosis
What labs is done to dx lupus?
immunologic based lab test same as RA
topical cortisone
NSAIDs
What are interventions with lupus?
chronic steroid therapy (take in AM)
immunosuppressants (avoid large crowds)
, Except fatigue as a continuing but manageable condition
Avoid self blame for the need to alter activity
Keep in mind that your health comes 1st
Make rest time a priority and make sure your family knows why
If you smoke stop and avoid nicotine in any form
Plan ahead and print orthodox your activities this are activities keeping in mind that
you do not have to be a superperson
Group your errands when driving starting with those further from home and heading
toward home
what is the self management for lupus
When possible shop online and have items delivered directly to you
Prepare meals in advance on less busy days
Is when possible prepare items while sitting
Carefully select which activities and events you can attend or participate in and
which ones you must regretfully decline
Work on asking for what you need asking for help will become easier with time and
practice
accept help offered by others
Make adjustments in your life that will help you live better
What are people with latex allergies usually banana, avocado, or nut allergies
also allergic to?
Persistent pain Due to chronic inflammation and hypoxia =pain management with
drug therapy =Tylenol and NSAIDs, corticosteroids
Fatigue due to chronic inflammation and hypoxia= Help patient recognize their
health must come 1st and learn to make lifestyle choices to improve endurance and
prevent excessive fatigue
what are Nursing diagnosises and
potential for loss of tissue integrity and organ failure with progression = Drug
interventions for lupus
therapy involving is involving combination of immunos suppressing agents and
selective immunos suppressive agent= corticosteroids, antimalarial drugs
(hydroxychloroquine)
Potential for decrease self esteem due to changes in body image =support positive
coping mechanism/ mental health professional
topical corticosteroids
Tylenol/ NSAIDs
what meds are used for management of
hydo|ychloroquine
lupus?
steroids
immunosuppressive agents (methotrexate)
what is the teaching for Teach patients to have frequent eye examinations with visual field testing before
hydroxychloroquine starting the drug and every 6 months after starting drug
What is Lyme disease? systemic infection caused by spirochete borrelia burgdorferi d/t tick bite
flu like symptoms
erythema migrans (bulls eye)
What is Stage 1 with lyme? pain/stiffness in muscles/joints
symptoms begin 3-30 days
tx abs doxy or amoxx (14-21 days)
2-12wks after tick bite
can develop carditis w/ dysrhythmias
What is Stage 2 with lyme?
dyspnea, dizziness or palpitations, meningitis, facial paralysis, peripheral neuritis
tx iv abx for 30 days (ceftriaxone & cefotaxime)
months-years after bite
What is stage3 with lyme?
arthritis is 1st and only symptom
limit sun exposure
monitor body temp
preg can trigger
What is teaching with lupus?
pat skin dry/clean w/ mild soap
avoid alcohol or powder
no live vaccine for 30 days before tx
an immune system generates antibodies against histones and DNA released by
What is lupus? normal breakdown of body cells. causes skin rashes, fever, arthritis, and kidney
disfunction
skin biopsy confirms diagnosis
What labs is done to dx lupus?
immunologic based lab test same as RA
topical cortisone
NSAIDs
What are interventions with lupus?
chronic steroid therapy (take in AM)
immunosuppressants (avoid large crowds)
, Except fatigue as a continuing but manageable condition
Avoid self blame for the need to alter activity
Keep in mind that your health comes 1st
Make rest time a priority and make sure your family knows why
If you smoke stop and avoid nicotine in any form
Plan ahead and print orthodox your activities this are activities keeping in mind that
you do not have to be a superperson
Group your errands when driving starting with those further from home and heading
toward home
what is the self management for lupus
When possible shop online and have items delivered directly to you
Prepare meals in advance on less busy days
Is when possible prepare items while sitting
Carefully select which activities and events you can attend or participate in and
which ones you must regretfully decline
Work on asking for what you need asking for help will become easier with time and
practice
accept help offered by others
Make adjustments in your life that will help you live better
What are people with latex allergies usually banana, avocado, or nut allergies
also allergic to?
Persistent pain Due to chronic inflammation and hypoxia =pain management with
drug therapy =Tylenol and NSAIDs, corticosteroids
Fatigue due to chronic inflammation and hypoxia= Help patient recognize their
health must come 1st and learn to make lifestyle choices to improve endurance and
prevent excessive fatigue
what are Nursing diagnosises and
potential for loss of tissue integrity and organ failure with progression = Drug
interventions for lupus
therapy involving is involving combination of immunos suppressing agents and
selective immunos suppressive agent= corticosteroids, antimalarial drugs
(hydroxychloroquine)
Potential for decrease self esteem due to changes in body image =support positive
coping mechanism/ mental health professional
topical corticosteroids
Tylenol/ NSAIDs
what meds are used for management of
hydo|ychloroquine
lupus?
steroids
immunosuppressive agents (methotrexate)
what is the teaching for Teach patients to have frequent eye examinations with visual field testing before
hydroxychloroquine starting the drug and every 6 months after starting drug
What is Lyme disease? systemic infection caused by spirochete borrelia burgdorferi d/t tick bite
flu like symptoms
erythema migrans (bulls eye)
What is Stage 1 with lyme? pain/stiffness in muscles/joints
symptoms begin 3-30 days
tx abs doxy or amoxx (14-21 days)
2-12wks after tick bite
can develop carditis w/ dysrhythmias
What is Stage 2 with lyme?
dyspnea, dizziness or palpitations, meningitis, facial paralysis, peripheral neuritis
tx iv abx for 30 days (ceftriaxone & cefotaxime)
months-years after bite
What is stage3 with lyme?
arthritis is 1st and only symptom
